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Stapling techniques for easy construction of an ileal J-pouch
J P Hughes1, A R Bauer, C M Bauer
1Department of Surgery, St. Marks Hospital, Salt Lake City, Utah.
Abstract:
A technique for the extended use of GIA and EEA or ILS staplers in the easy construction of an ileal J-pouch and mucosal proctectomy has been described herein. The technique for construction of the J-pouch involves the almost exclusive multiple use of a GIA stapling device. The described mucosal proctectomy techniques use the EEA stapler for good traction and visualization for everted electrocautery suction mucosal dissection. With the use of these techniques, the integrity of the patient's tissue is preserved, suture lines are stronger, and the operating time is greatly reduced.
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